NPI | 1356896088 |
---|---|
Other Name | TASHA RATLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 14709) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN 5198859) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2016-08-23 |