| NPI | 1184963357 |
|---|---|
| Former Name | EBONI R. HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 006759) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011103) |
| 101YP2500X Counselor, Professional (Licence: MI 6401016779) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2022-05-06 |