NPI | 1477126340 |
---|---|
Former Name | SHYANNA VANMETER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.026648) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150105411) |
101Y00000X Counselor | |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-07-12 |