| NPI | 1669920781 |
|---|---|
| Former Name | ANNA SHAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70327) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX LCDC-I) |
| 101YP2500X Counselor, Professional (Licence: CA 12247) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0016494) | |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2023-01-28 |