NPI | 1770997520 |
---|---|
Other Name | SHAQUANNA FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14879) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 14879) |
106H00000X Marriage & Family Therapist (Licence: MD 14879) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2021-07-27 |