| NPI | 1245409689 |
|---|---|
| Former Name | ELLEN KATHERINE SHAFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 548) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1035) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2014-08-08 |