| NPI | 1033576244 |
|---|---|
| Former Name | MYISHA MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 6912) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 88456) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2025-01-02 |