NPI | 1386121887 |
---|---|
Professional Name | TAMEKA LASHUNDA RUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH15899) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL MH15899) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2022-02-26 |