NPI | 1558579953 |
---|---|
Former Name | TARA KITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 5434) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 5434) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2023-03-30 |