| NPI | 1700015583 |
|---|---|
| Former Name | TARA CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12101) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005631) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2021-06-04 |