| NPI | 1649746934 |
|---|---|
| Former Name | MERIDITH SHALLENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76469) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 76469) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-03-26 |