| NPI | 1356851273 |
|---|---|
| Former Name | SHEA LAREE MCCREERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901283-SUPV) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M1700020) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2022-03-25 |