| NPI | 1396316980 |
|---|---|
| Former Name | TAINA SIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-07-17 |