| NPI | 1942415781 |
|---|---|
| Former Name | LASHAUN CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001626A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7395) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-07-31 |