| NPI | 1871626176 |
|---|---|
| Former Name | TIA SILLIMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67074) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A0304030) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11088) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR 281L) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-01-13 |