| NPI | 1750793402 |
|---|---|
| Former Name | SERIFATU TAMARA WALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AR F1902001) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 85000095A) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2020-08-17 |