| NPI | 1730682535 |
|---|---|
| Former Name | TANYA E RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: IL 2483985) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TS0200X Psychologist, School | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2023-03-21 |