| NPI | 1376947887 |
|---|---|
| Former Name | TARA KRAFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: ND 516) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ND 516) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-04-18 |