| NPI | 1437285343 |
|---|---|
| Former Name | TAWNYA MARIE CANTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC1231) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LC1231) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-08-12 |