| NPI | 1306929732 |
|---|---|
| Former Name | TARA MICHELE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3472) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 07100827) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2022-07-21 |