NPI | 1548080823 |
---|---|
Other Name | VERDALE TYSON-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178020721) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178020721) |
Enumeration Date | 2024-10-11 |
Last Update Date | 2024-10-11 |