| NPI | 1659629913 |
|---|---|
| Former Name | TARA LEIGH MCSHANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 33608) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082650-1) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |