| NPI | 1396490405 |
|---|---|
| Former Name | TANIESH LUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: AK 184612) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AK 184612) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2023-04-13 |