NPI | 1679741045 |
---|---|
Former Name | TASHA ANDREA FORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC 60115610) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00049019) |
1041C0700X Social Worker, Clinical (Licence: GA CSW005614) | |
1041C0700X Social Worker, Clinical (Licence: MS C9626) | |
1041C0700X Social Worker, Clinical (Licence: SC 11376) | |
376K00000X Nurse's Aide (Licence: WA NC10033326) | |
Enumeration Date | 2008-02-19 |
Last Update Date | 2022-11-09 |