NPI | 1497985287 |
---|---|
Former Name | TAMIKA JANELLE GAFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YS0200X Counselor, School | |
101YS0200X Counselor, School | |
106S00000X Behavior Technician | |
Enumeration Date | 2009-07-15 |
Last Update Date | 2022-09-21 |