| NPI | 1437574399 |
|---|---|
| Former Name | TAMMY SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008492) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22724) |
| 101YM0800X Counselor, Mental Health (Licence: NC C008492) | |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2024-06-23 |