| NPI | 1689921322 |
|---|---|
| Former Name | JASMIN SHANCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 92973) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C057730618) |
| 104100000X Social Worker | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2020-03-12 |