| NPI | 1518560192 |
|---|---|
| Former Name | KASHA SHANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 10333-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 10333-M) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2025-05-12 |