| NPI | 1609436930 |
|---|---|
| Former Name | SHANNON ELIZABETH MULRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-07-12 |