| NPI | 1205964863 |
|---|---|
| Former Name | SHIRLEY GEVEDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2742) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2018-07-05 |