NPI | 1235588674 |
---|---|
Former Name | SHAWNA STIGGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTL0202841) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2016-06-07 |
Last Update Date | 2019-10-08 |