| NPI | 1730521758 |
|---|---|
| Former Name | SHELBY ANN LARSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152024) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10270) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2024-12-20 |