| NPI | 1184136913 |
|---|---|
| Former Name | TENISHA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507094) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 19586) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2026-01-26 |