| NPI | 1861510497 |
|---|---|
| Former Name | TARA J WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002620A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000876A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35000101A) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-08-18 |