| NPI | 1134344013 |
|---|---|
| Former Name | TASHA RAE BRADIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 092835) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076950-1) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-09-08 |