| NPI | 1194150102 |
|---|---|
| Former Name | SHAUN L HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2733) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 2557) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2024-07-15 |