| NPI | 1902577083 |
|---|---|
| Professional Name | BRIDGETT RENAE TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2022048270) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 40067) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-05-01 |