| NPI | 1023266673 |
|---|---|
| Former Name | TARA MARIE ROMASANTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: OK 26455) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OK 26455) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2013-09-16 |