NPI | 1710127733 |
---|---|
Former Name | TINA LAVONE WESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007499) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2015-09-17 |