NPI | 1639379407 |
---|---|
Other Name | TARA LYNN GULLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5265) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7277) |
1041C0700X Social Worker, Clinical (Licence: TN LSW5265) | |
1041C0700X Social Worker, Clinical | |
1041C0700X Social Worker, Clinical (Licence: TN CSW7277) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2023-09-06 |