| NPI | 1457729246 |
|---|---|
| Former Name | SHANELLE WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17394) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL W436-785-93-675-0) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2021-08-31 |