| NPI | 1083451868 | 
|---|---|
| Former Name | TERESA ESMERALDA NOSS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30414)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012363)  | 
| 1041C0700X Social Worker, Clinical (Licence: PA CW022096)  | |
| Enumeration Date | 2024-07-10 | 
| Last Update Date | 2024-07-10 |