| NPI | 1740444884 |
|---|---|
| Former Name | TARA LEE PASQUALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0145061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0112821) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2012-06-26 |