NPI | 1447735675 |
---|---|
Former Name | TIA BARDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60976910) |
Enumeration Date | 2018-10-03 |
Last Update Date | 2021-07-19 |