| NPI | 1346757762 |
|---|---|
| Former Name | TIERRA YOUNGBLOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017826) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006746) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101007120) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2024-05-15 |