| NPI | 1023202330 |
|---|---|
| Former Name | SHELBYE LEVINE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 9182-C) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2025-01-31 |