| NPI | 1831385681 |
|---|---|
| Former Name | LAKEISHA SHAUNDELL BLACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2011-02-09 |