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 |