| NPI | 1306113642 |
|---|---|
| Former Name | TERESA R SANDIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006341A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001383A) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2021-10-19 |