| NPI | 1386797710 |
|---|---|
| Former Name | DEVON LANE TAVANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0009932-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I0009932) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW016888) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-12-01 |