| NPI | 1023600582 |
|---|---|
| Former Name | SHAYNA KEARN COFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LMFT-7650) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 11816) |
| 101YP2500X Counselor, Professional (Licence: ID LMFT-7650) | |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT-7650) | |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2024-02-12 |