| NPI | 1114245594 |
|---|---|
| Former Name | TERESSA DANA-IONE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66950) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 3486-C) |
| 1041C0700X Social Worker, Clinical (Licence: RI ISW03038) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2023-02-13 |