| NPI | 1831459106 |
|---|---|
| Former Name | TARA C MCRAE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND LICSW5476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW62900) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2022-07-21 |