NPI | 1437894706 |
---|---|
Former Name | SHAWNA WATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 372600000X Adult Companion |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
172V00000X Community Health Worker | |
373H00000X Day Training/Habilitation Specialist | |
Enumeration Date | 2022-05-02 |
Last Update Date | 2025-07-14 |