| NPI | 1962692814 |
|---|---|
| Former Name | LYNLEE R TANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005048) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2017-04-24 |