NPI | 1457793002 |
---|---|
Former Name | LEQUISHA SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4252) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1505) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2022-09-27 |