| NPI | 1710517883 |
|---|---|
| Former Name | NIKISHA BLUE WATERS LAPINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801117454) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801106247) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2023-12-19 |