NPI | 1871935411 |
---|---|
Former Name | TARA MARSHELLE SOBRIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 8477) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4297) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2024-12-18 |