| NPI | 1407008824 |
|---|---|
| Other Name | SHANNON ELEANOR ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007473) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2020-10-30 |