| NPI | 1740498476 |
|---|---|
| Former Name | TANYA LETTMAN TEMPLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 11194) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 608124) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-08-23 |