NPI | 1740831411 |
---|---|
Former Name | TESHIA STEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 60794) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 60794) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2022-08-29 |