NPI | 1205198439 |
---|---|
Former Name | ROBIN COLLEEN SHANNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 63798) |
Additional Taxonomies | 221700000X Art Therapist |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |