| NPI | 1811547599 |
|---|---|
| Former Name | TARA MEISNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39172) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006305) |
| 103TC0700X Psychologist, Clinical (Licence: NM PSY-2025-0063) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY10427) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 021661) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2026-04-24 |