| NPI | 1033300413 |
|---|---|
| Former Name | TARA LAURENZANO-BANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |