| NPI | 1225835887 |
|---|---|
| Former Name | TARA KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0022386) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 14198) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |