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 |