| NPI | 1902373228 |
|---|---|
| Other Name | SHANAY ELIZABETH TETHEROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61341290) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60986047) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60970645) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-12-19 |