NPI | 1760732564 |
---|---|
Former Name | SHALANDA SHEREE CHANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374K00000X |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65398) |
106H00000X Marriage & Family Therapist (Licence: AL A-364) | |
Enumeration Date | 2012-09-19 |
Last Update Date | 2024-11-20 |