NPI | 1093459646 |
---|---|
Former Name | SHENEKA POOLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20675) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH20675) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH20675) | |
101YP2500X Counselor, Professional (Licence: FL MH20675) | |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-04-20 |