| NPI | 1881330777 |
|---|---|
| Former Name | TARA VICTORIA HOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P017006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017006) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |