| NPI | 1093184574 |
|---|---|
| Former Name | TEGAN A. L. NEUSTATTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006792) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10990) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-05-21 |