| NPI | 1013775394 |
|---|---|
| Other Name | SHAWNNA MAE BOER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60838249) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |