NPI | 1003353988 |
---|---|
Former Name | SHANNON E HANJORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH i.1101044) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 101187) |
1041C0700X Social Worker, Clinical (Licence: OH S.0900762) | |
Enumeration Date | 2017-01-30 |
Last Update Date | 2020-02-18 |