| NPI | 1417274655 |
|---|---|
| Former Name | SHAUNTA GILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 5917) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2020-01-14 |