| NPI | 1144772567 |
|---|---|
| Former Name | SHELLEY LYNN PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 36498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19815) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |