| NPI | 1376321802 |
|---|---|
| Former Name | SHANIKA COPPAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16719) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011930) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-10-12 |