| NPI | 1073705380 |
|---|---|
| Former Name | YVONNE TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NE 979) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 3233) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-03-12 |