| NPI | 1275940561 |
|---|---|
| Professional Name | JENI SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TE1100X Psychologist, Exercise & Sports (Licence: CO PSY3805) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO PSY3805) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |