NPI | 1669764577 |
---|---|
Former Name | SHELLEY JOYCE NEWMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2011-05-11 |
Last Update Date | 2012-06-19 |