| NPI | 1528506912 |
|---|---|
| Former Name | TEDESSA WHITNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 091900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 090153) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2021-09-15 |