NPI | 1063662450 |
---|---|
Former Name | KAREN LYN SHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC0000003280) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-09-23 |
Last Update Date | 2014-12-31 |