| NPI | 1912593567 |
|---|---|
| Former Name | SHANNON HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303401) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2003053) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2023-03-15 |