NPI | 1457577215 |
---|---|
Professional Name | TARA TOLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.005474) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: IL tt20360603p) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2009-06-30 |