| NPI | 1639908940 |
|---|---|
| Other Name | SHAUNA GOODELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 1669092201) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-10-07 |