NPI | 1194615336 |
---|---|
Former Name | SHANNON L BARRAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 31007) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304733) |
Enumeration Date | 2025-07-08 |
Last Update Date | 2025-07-08 |