| NPI | 1841370889 |
|---|---|
| Former Name | TAMI LYNN RISAVI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-06310) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-06310) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-06-16 |