| NPI | 1144729930 |
|---|---|
| Former Name | SHANNA L QUALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2866) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-05-12 |