| NPI | 1356483168 |
|---|---|
| Former Name | TASHA LEANA TARDONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 3850) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-04-02 |