| NPI | 1801375431 |
|---|---|
| Former Name | TASHIA I NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10862) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8898) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2021-03-22 |