| NPI | 1053534909 |
|---|---|
| Former Name | SHANNON ELLISON ALDRIDGE-REYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN LPC0000001856) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |