NPI | 1780871806 |
---|---|
Former Name | SHANNA LEIGH MONAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 60443) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 60443) |
Enumeration Date | 2007-10-02 |
Last Update Date | 2022-09-28 |