| NPI | 1508049339 |
|---|---|
| Former Name | TAMARA DAWN ALLEN-WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 15194) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0091041) |
| 101YP2500X Counselor, Professional (Licence: TX 15194) | |
| Enumeration Date | 2007-12-15 |
| Last Update Date | 2020-08-14 |