NPI | 1790169332 |
---|---|
Former Name | TIARA DAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1901153) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1500460-TRNE) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2020-10-19 |