| NPI | 1730791609 |
|---|---|
| Professional Name | TONY SHAW |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC11938) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC11938) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2022-07-01 |