| NPI | 1619096393 |
|---|---|
| Former Name | SHANIKA LAVI RENFRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006604) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2795) |
| 1041C0700X Social Worker, Clinical (Licence: CT 007170) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-07-28 |