| NPI | 1780789677 |
|---|---|
| Former Name | SHANNON COURTNEY HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH OhioPsychologist5986) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |