| NPI | 1114178456 |
|---|---|
| Former Name | TASHANNA ANN NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60916268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 104314) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2022-03-25 |