| NPI | 1902654684 |
|---|---|
| Former Name | SHELBY REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 70279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 32509) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2021033853) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801113955) | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |