| NPI | 1942715131 |
|---|---|
| Former Name | TAMMIE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW024595) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134945) |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2024-04-15 |