| 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 |