| NPI | 1679939805 |
|---|---|
| Former Name | NAKISHA NUCKOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2020-02-03 |