| NPI | 1710043716 |
|---|---|
| Former Name | SHAWNA BETH FISHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001280) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 33408) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-01-28 |