| NPI | 1558559427 |
|---|---|
| Other Name | SHANNON KATHLEEN BOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0500554SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0500554) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-01-28 |