NPI | 1467107060 |
---|---|
Former Name | TONYA NEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-02-14 |
Last Update Date | 2022-12-08 |