| 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 |