NPI | 1679965206 |
---|---|
Professional Name | SHANE PADAMADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC9228) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-02-18 |
Last Update Date | 2024-08-29 |