NPI | 1174961635 |
---|---|
Former Name | TARA E. LEMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 4706) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4706) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2019-10-10 |