NPI | 1588903124 |
---|---|
Former Name | TESSA KATHERINE WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 707) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6982) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2019-04-11 |