| NPI | 1871677138 |
|---|---|
| Former Name | TARA ANNE SOPWITH IGLESIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60484916) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY20027) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSY20027) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY20027) | |
| 103TC1900X Psychologist, Counseling (Licence: CA PSY20027) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA PSY20027) | |
| 103TF0000X Psychologist, Family (Licence: CA PSY20027) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA PSY20027) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: CA PSY20027) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-07-30 |