| NPI | 1780021501 |
|---|---|
| Former Name | TANIA CHRISTINA BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 0011978) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-02-04 |