| NPI | 1609078021 |
|---|---|
| Former Name | TOSHA MONIQUE MCCLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-06-29 |