NPI | 1427335900 |
---|---|
Other Name | SHAUNA TAKESHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89837) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2024-10-01 |