| NPI | 1508052564 |
|---|---|
| Former Name | TAMARA EADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4080) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: KY 1155) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2024-01-16 |