| NPI | 1730572207 |
|---|---|
| Former Name | TONYA SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC4868) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME XL4416) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2024-06-25 |