| NPI | 1457014318 |
|---|---|
| Other Name | TARA A. HANSON SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | TARA A HANSON Owner 772-579-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |