| NPI | 1700697133 |
|---|---|
| Former Name | SHANNON JO COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |