| NPI | 1497372817 |
|---|---|
| Former Name | SHELLY A ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61086441) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |