| NPI | 1649541590 |
|---|---|
| Former Name | YANEISHA GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008040) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002289A) |
| 101YM0800X Counselor, Mental Health (Licence: TX 85477) | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2021-09-30 |