NPI | 1003452293 |
---|---|
Former Name | SHARECE NECOLE EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2461) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001057) |
Enumeration Date | 2019-11-21 |
Last Update Date | 2022-12-05 |