| NPI | 1871959585 |
|---|---|
| Former Name | LATISHA JOLENE CRESON-BEATY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015043559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2015043559) |
| 101Y00000X Counselor (Licence: MO 2015043559) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2024-10-15 |