| NPI | 1225369168 |
|---|---|
| Former Name | TARA LEE BORNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 4126) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2020-10-19 |