| NPI | 1396252193 | 
|---|---|
| Former Name | ALESHA FALLON CARTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222760) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-01-03 | 
| Last Update Date | 2024-07-29 |