NPI | 1922158419 |
---|---|
Former Name | TANYA YEVETTE BARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 7440533-6005) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2009-10-01 |