| NPI | 1801347315 |
|---|---|
| Former Name | SHAMIKA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009555) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC009555) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-08-13 |