| NPI | 1295283398 |
|---|---|
| Former Name | SHONTEL SOLOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001510) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000351) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2019-12-17 |