NPI | 1497496871 |
---|---|
Former Name | SHAWNA KALBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20898) |
Enumeration Date | 2022-04-07 |
Last Update Date | 2024-05-08 |