| NPI | 1942560032 |
|---|---|
| Former Name | EBONE LAVONE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9494) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC4299) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2013-08-21 |