NPI | 1578053260 |
---|---|
Former Name | TIMIEKA CHERRY'LE MCBRIDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SWIA.SC.61540758) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2024-05-23 |