| NPI | 1639236474 |
|---|---|
| Former Name | MARIA FAYE VAUGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3244) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3244) |
| 1041C0700X Social Worker, Clinical (Licence: TN 3887) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2025-01-28 |