| NPI | 1750605283 |
|---|---|
| Former Name | TARA SHOOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW124363) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2012-10-29 |