| NPI | 1871064907 |
|---|---|
| Former Name | RICHSHANDA NORSHEA HAWES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1314190718) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |