NPI | 1841907979 |
---|---|
Former Name | DIONNE NEKEISHA WAITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8054) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14892) |
103TC1900X Psychologist, Counseling (Licence: MD LC8054) | |
Enumeration Date | 2022-10-28 |
Last Update Date | 2023-11-28 |