| NPI | 1376833541 |
|---|---|
| Other Name | KEISHA M WALDRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8721) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2014-07-30 |