| NPI | 1659678647 |
|---|---|
| Former Name | TARA BETH POOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4097) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 0935) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2012-04-03 |