| NPI | 1639570922 |
|---|---|
| Other Name | THERESA ROMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 5573) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2021-06-26 |