| NPI | 1174411169 |
|---|---|
| Former Name | SHILO MARIE GEORG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A19573) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-28646) |
| 101YP2500X Counselor, Professional (Licence: FL IMH22348) | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-30 |