| NPI | 1144661430 |
|---|---|
| Former Name | TARA AUNDRE'A GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2015-02-09 |