| NPI | 1427622448 |
|---|---|
| Other Name | SHANNON WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC03571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3571) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-09-19 |