| NPI | 1003878323 |
|---|---|
| Former Name | BARBARA JANE TAVERNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP2383) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 1339057) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-08 |