| NPI | 1164541223 |
|---|---|
| Former Name | TARA RENEE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0900067-SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0500486) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-03-10 |