NPI | 1770074833 |
---|---|
Former Name | KARA A SHAUGHNESSY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017042409) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 2017042409) |
171M00000X Case Manager/Care Coordinator (Licence: MO 2017042409) | |
Enumeration Date | 2018-05-24 |
Last Update Date | 2024-09-20 |