| NPI | 1386853638 |
|---|---|
| Former Name | NICOVA PATRESE TYUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 13043) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 13043) |
| 104100000X Social Worker (Licence: TN 13043) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-11-09 |