| NPI | 1881579118 |
|---|---|
| Former Name | SHELBY MARIE DEVONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 95708) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 95708) |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-25 |