| NPI | 1881944015 |
|---|---|
| Former Name | SHANNON MCNAMARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 009782) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2020-10-05 |