NPI | 1801159850 |
---|---|
Former Name | TAUSHA INARA CUSHMAN |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A15424) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-06-23 |
Last Update Date | 2024-10-29 |