NPI | 1992228316 |
---|---|
Former Name | TERA WESLEY BROWNLEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3890) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2874) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2024-12-18 |