NPI | 1134522337 |
---|---|
Other Name | SHALETHA LASHAWN RICHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9433) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK J082698428) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2024-02-20 |