NPI | 1962155424 |
---|---|
Former Name | LINDSEY TATRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 13086) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134364) |
Enumeration Date | 2022-02-03 |
Last Update Date | 2024-01-19 |