| NPI | 1295535219 |
|---|---|
| Former Name | SHAANTAI ANN LEARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-04-04 |