NPI | 1700554581 |
---|---|
Former Name | LASHUNDRA LYNN WHITE-CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 006413529) |
Enumeration Date | 2021-09-05 |
Last Update Date | 2024-11-20 |