| NPI | 1114336179 |
|---|---|
| Former Name | TERESA LYNN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32697) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 4954704-2501) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2016-12-05 |