| 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 |