| NPI | 1548755358 |
|---|---|
| Former Name | DENISEA MAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016444) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-09-08 |