NPI | 1568808194 |
---|---|
Former Name | TARA ELIZABETH ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37890) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2024-03-18 |