NPI | 1801323233 |
---|---|
Former Name | SHAWNA HAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1800998) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-05-16 |
Last Update Date | 2024-04-10 |