| NPI | 1316231913 |
|---|---|
| Former Name | SHAYNA H SOENKSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01757) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: RI PS01757) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-05-03 |