| NPI | 1225220858 |
|---|---|
| Professional Name | TISH TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: KS 1284) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: KS 1284) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |