| NPI | 1851436976 |
|---|---|
| Former Name | SHANNON LEIGH STUART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC1154) |
| 103TC0700X Psychologist, Clinical (Licence: CA 34386) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 46239) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-08-28 |