NPI | 1326403916 |
---|---|
Former Name | SHIMIKA B DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6119) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA CI6119) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2025-10-13 |