| NPI | 1811547599 |
|---|---|
| Former Name | TARA ARREOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39172) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10427) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-12-27 |