| NPI | 1407171416 |
|---|---|
| Former Name | SHANNA MARTINDALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0013689) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2019-05-21 |