NPI | 1922325018 |
---|---|
Former Name | KARIE M. SHANNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPC05685) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2022-06-14 |