| NPI | 1497924062 |
|---|---|
| Former Name | TAMIE GATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 090197) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080653-1) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2022-05-10 |