| NPI | 1003245630 |
|---|---|
| Former Name | DESTINY E'SHUNDA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008731) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 8085) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-02-24 |