| NPI | 1275951634 |
|---|---|
| Former Name | TARA CASEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003308A) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-01-24 |