| NPI | 1780016733 |
|---|---|
| Former Name | ANNIE LAURA MCSHANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2015-04-28 |