| NPI | 1023747169 |
|---|---|
| Former Name | SHADAN A FUQE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11476-123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-11-19 |