| NPI | 1417207259 |
|---|---|
| Former Name | SHANNON MARIE SAVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009130) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2020-05-21 |