| NPI | 1619145257 |
|---|---|
| Former Name | TINA MARGARETE LANIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 1768) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 1768) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 1768) | |
| 103TH0100X Psychologist, Health Service (Licence: NC 1768) | |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2019-08-16 |