NPI | 1023328150 |
---|---|
Former Name | SHAWNA RENAE TUFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 079281) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2010-10-07 |
Last Update Date | 2015-11-12 |