| NPI | 1669920781 | 
|---|---|
| Former Name | ANNA SHAVER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70327)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12247)  | 
| 101YP2500X Counselor, Professional (Licence: CO LPC.0016494)  | |
| Enumeration Date | 2016-09-18 | 
| Last Update Date | 2025-03-21 |