| NPI | 1952838559 |
|---|---|
| Former Name | SHANNA ANN MALOIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-10-01 |