| NPI | 1285172338 |
|---|---|
| Former Name | SHANNON RENE ABBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015889) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401017357) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-11-03 |