| NPI | 1295251205 |
|---|---|
| Former Name | LAKEISHA NATHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 01792) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2026-08-28 |