| NPI | 1952795445 |
|---|---|
| Former Name | TARA GODINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7332) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2021-06-29 |