| NPI | 1922581396 |
|---|---|
| Former Name | TAMARA ANN MULLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2024-02-28 |