| NPI | 1447294061 |
|---|---|
| Former Name | SHANNON ALISON HARTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4390) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 963) |
| 106H00000X Marriage & Family Therapist (Licence: CA 39135) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |