| NPI | 1447042155 |
|---|---|
| Former Name | TARA ERIN WHALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CU61623848) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |