| NPI | 1679704803 |
|---|---|
| Former Name | VICTORIA LYNN TEWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 16273) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0115211) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2025-09-25 |