| NPI | 1578814554 |
|---|---|
| Former Name | SHANNON NICOLE BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67523) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2024-12-23 |