NPI | 1245520246 |
---|---|
Professional Name | COLLEEN STILES-SHIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009980) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 149.014597) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2022-10-03 |