| NPI | 1588099428 |
|---|---|
| Former Name | MARGARET NELL SHELTON/MILDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3046-A) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2017-12-01 |