| NPI | 1033828900 |
|---|---|
| Former Name | SHAN ELIZABETH CANTRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 379167) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |