| NPI | 1215094206 |
|---|---|
| Former Name | SHANNAH SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 0008370) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-05-15 |