| NPI | 1134963440 |
|---|---|
| Former Name | SHANNON GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2026-04-27 |