| NPI | 1548541048 |
|---|---|
| Former Name | SHANNA BROOKE DULEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 5173) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY 8953) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2023-11-27 |