NPI | 1962113639 |
---|---|
Former Name | BRITTANY SHAFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701014217) |
Enumeration Date | 2022-12-13 |
Last Update Date | 2025-03-05 |