| NPI | 1700531142 |
|---|---|
| Former Name | SHAWNA LOUISE HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39006000A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6451022106) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2026-05-26 |