NPI | 1962656298 |
---|---|
Former Name | TAMIA LASHUNDA BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2965) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2965) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2018-12-13 |