| NPI | 1962148247 |
|---|---|
| Former Name | DEAUNA SHANKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-12-29 |