| NPI | 1124660246 |
|---|---|
| Former Name | SHANA BETH GEVINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-3494) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: HI 3494) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-09-21 |