| NPI | 1649832171 |
|---|---|
| Former Name | SHIANNE NICHOLE FUSLIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 97942) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 9216) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2025-07-17 |