| NPI | 1114502242 |
|---|---|
| Doing Business As | SHELLY SANDERS |
| Entity Type | Organization |
| Authorized Contact | SHELLY H SANDERS Licensed Counselor/Practice Owner 980-439-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-01-12 |