| NPI | 1174063762 |
|---|---|
| Former Name | SHIRLEY THEODORA PRESLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 00501011536) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 00501011536) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |