| NPI | 1295814713 |
|---|---|
| Former Name | TINA L MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-744) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 744) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-12-29 |