| NPI | 1497052187 |
|---|---|
| Former Name | TANA LEE BETTRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 293442-3503) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-02-07 |