NPI | 1548731102 |
---|---|
Former Name | SHANNON DAWN CHAPUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MI 6851111060) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2021-10-15 |