| NPI | 1417514381 |
|---|---|
| Former Name | TINA LESHELLE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 18738) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q1-0012354) |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2025-07-28 |