| NPI | 1033520333 |
|---|---|
| Former Name | TARA MARIE ASHFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203549) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001272) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT100197) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2021-12-17 |