NPI | 1952092546 |
---|---|
Other Name | YANNIKA D TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 18640) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MD 18640) |
101YP2500X Counselor, Professional (Licence: MD 18640) | |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |