| NPI | 1245974013 |
|---|---|
| Former Name | TERESSA DEJEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 14798) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-10-13 |