| NPI | 1154708121 |
|---|---|
| Former Name | SHAWNA MCKEEVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 092345) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 096872-1) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-12-22 |