| NPI | 1215122700 |
|---|---|
| Former Name | HENRIETTA LAWLER SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05360500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076171-1) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2021-08-31 |