NPI | 1992006431 |
---|---|
Former Name | TANYA Y GREAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00649) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN CC0649) |
Enumeration Date | 2010-11-16 |
Last Update Date | 2020-01-13 |