NPI | 1679053011 |
---|---|
Former Name | KANISHA NATHASHA ALLEYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 9956) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-08-15 |
Last Update Date | 2025-04-03 |