| NPI | 1538439260 |
|---|---|
| Former Name | TARA NICOLE HAAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1000412) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.1000412) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2023-12-04 |