NPI | 1093943425 |
---|---|
Former Name | SHENETHIA FENNER HEBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7614) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7614) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2020-04-11 |