NPI | 1437894706 |
---|---|
Former Name | SHAWNA WATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-05-02 |
Last Update Date | 2023-12-22 |