| NPI | 1265809917 |
|---|---|
| Former Name | SHELBIE LYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 165322) |
| 1041C0700X Social Worker, Clinical (Licence: KY 252401) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2019-07-05 |