NPI | 1063859510 |
---|---|
Former Name | SHENIQUA DONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH10688) |
Enumeration Date | 2013-05-23 |
Last Update Date | 2023-09-15 |