| NPI | 1871079137 |
|---|---|
| Former Name | SHANNON STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2025-01-10 |