NPI | 1942783022 |
---|---|
Former Name | SHARIKA MCCLINTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011271) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2020-02-01 |