| NPI | 1255401220 |
|---|---|
| Other Name | THERESA JANE RADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041299A) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IN 20041299A) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-11-27 |