NPI | 1043080989 |
---|---|
Other Name | KAREN LENORA SHAW-CASTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223790) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401223790) |
106H00000X Marriage & Family Therapist (Licence: MI 6401223790) | |
Enumeration Date | 2024-01-02 |
Last Update Date | 2024-01-02 |