| NPI | 1508240003 |
|---|---|
| Former Name | TONEISHA SHERRELL NIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8540-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54191) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2018-08-23 |