| NPI | 1669037842 |
|---|---|
| Former Name | TAMARA BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011899) |
| 101YM0800X Counselor, Mental Health (Licence: DE pc0011641) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC15285) | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2025-03-18 |