| NPI | 1619699428 |
|---|---|
| Former Name | SHYLA CARISSA AKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61382693) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60841312) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-04-10 |