NPI | 1700024452 |
---|---|
Former Name | TAMMY LEE MCPHERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI L 1121008) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401006872) |
Enumeration Date | 2009-02-02 |
Last Update Date | 2023-07-14 |