NPI | 1255616959 |
---|---|
Former Name | CHRISHONNA SHELTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007777) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 27435) |
1041C0700X Social Worker, Clinical (Licence: DC LC50079613) | |
Enumeration Date | 2011-10-14 |
Last Update Date | 2023-07-10 |