| NPI | 1417281056 |
|---|---|
| Former Name | FAITH SHEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2024-03-04 |