| NPI | 1972975431 |
|---|---|
| Former Name | TAMI LYNNE GRAVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61091134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2023-12-14 |