| NPI | 1376284034 |
|---|---|
| Former Name | SHANDREKA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59404) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 59404) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2024-01-19 |