NPI | 1417181728 |
---|---|
Former Name | TAMIA ANDREA HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6312) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701009555) |
101YP2500X Counselor, Professional | |
101YP2500X Counselor, Professional (Licence: DC PRC13959) | |
Enumeration Date | 2009-05-14 |
Last Update Date | 2024-03-08 |