| NPI | 1760732564 |
|---|---|
| Former Name | SHALANDA SHEREE CHANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AL A364) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65398) |
| 374K00000X | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2024-10-17 |