| NPI | 1497230957 |
|---|---|
| Former Name | TIANDRA FIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-01-26 |