NPI | 1003257692 |
---|---|
Former Name | SHANA A SANTANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 014356) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CT 5480444393) |
101Y00000X Counselor | |
Enumeration Date | 2013-07-10 |
Last Update Date | 2025-09-14 |