| NPI | 1043752587 |
|---|---|
| Former Name | CHARKELA JENEA GASTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005189) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2019-01-25 |