| NPI | 1811151582 |
|---|---|
| Former Name | MISTI MICHELLE TUERCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36270) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2013-05-09 |