| NPI | 1679923320 |
|---|---|
| Former Name | SHELLY BILBY-LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 06888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 6888) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2025-11-08 |