| NPI | 1659768463 |
|---|---|
| Former Name | TANYA BARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA LICSW121514) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-08-26 |