| NPI | 1184230351 |
|---|---|
| Other Name | SANDRA SHAFFER |
| Entity Type | Organization |
| Authorized Contact | SANDRA MARIE SHAFFER Therapist/Owner 920-896-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-11-10 |