| NPI | 1215827381 |
|---|---|
| Former Name | SHELLY DOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 15461) |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |