| NPI | 1154750495 |
|---|---|
| Former Name | SOPHIA TANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36167) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TX 35123) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-05-09 |