| NPI | 1568915981 |
|---|---|
| Former Name | SHANNON DARELL HOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF96917) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-09-01 |