| NPI | 1619176211 |
|---|---|
| Former Name | SHEREESE TAMICA MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |