| NPI | 1831456136 |
|---|---|
| Former Name | SHAYNA KM YAMASHIRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI0104) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01671-L) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2016-01-20 |