| NPI | 1033419361 |
|---|---|
| Former Name | LATONYA DENISE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH22407) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2023-08-02 |