NPI | 1508240003 |
---|---|
Former Name | TONEISHA SHERRELL NIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 54191) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 8540-C) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2024-10-18 |