| NPI | 1437793791 |
|---|---|
| Other Name | SHAWNIE CASTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.171921) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |