| NPI | 1700399532 |
|---|---|
| Former Name | SHANNON SPAULDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 16510) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-09-16 |