| NPI | 1629613641 |
|---|---|
| Other Name | SUNSHYNE FAWKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2021-08-03 |