NPI | 1144797721 |
---|---|
Professional Name | MYRA LYNN SHEPPARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R8751) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-10-31 |
Last Update Date | 2018-12-20 |