NPI | 1053536821 |
---|---|
Former Name | SHAWN EVETTE JOYNER HEFFERON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 04-793) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2019-06-10 |