| NPI | 1184930273 |
|---|---|
| Former Name | SHANNON MARIE HAASKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-10-27 |