NPI | 1083943203 |
---|---|
Former Name | CHARMEKA S WHITEHEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014388) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2009-12-17 |
Last Update Date | 2018-09-04 |