| NPI | 1730550104 |
|---|---|
| Other Name | FARIS SHINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5500) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2023-09-14 |