| 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 |