NPI | 1891412755 |
---|---|
Former Name | TESSA MARIE SCHNEIDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149011495) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 149011495) |
Enumeration Date | 2022-10-21 |
Last Update Date | 2025-05-22 |