| NPI | 1790110849 |
|---|---|
| Former Name | SHANNON MARGARET KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2021-07-14 |