| NPI | 1316356595 | 
|---|---|
| Former Name | SHANNA DULIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60777187) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SW60556739) | 
| Enumeration Date | 2014-08-12 | 
| Last Update Date | 2022-07-21 |