| NPI | 1962735902 |
|---|---|
| Former Name | SHANNON D RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923695) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2019-04-08 |