| NPI | 1033181136 |
|---|---|
| Former Name | TERESA LEE MEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36950) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36950) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2023-07-25 |