| NPI | 1104086412 |
|---|---|
| Former Name | SHAUNA SPERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NE 1056) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH 6558) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-01-18 |