| NPI | 1619102688 |
|---|---|
| Professional Name | SHELLY MARIE ANNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2010-11-16 |