| NPI | 1073880068 |
|---|---|
| Former Name | SHANTE FAUSKEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2306) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 2192-124) |
| 163W00000X Registered Nurse (Licence: MN 2485250) | |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2024-03-05 |