NPI | 1427405356 |
---|---|
Former Name | TABITHA MONIQUE JOYNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006457) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2016-05-20 |
Last Update Date | 2024-02-29 |