| NPI | 1962772095 |
|---|---|
| Former Name | SHANNON A HINKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001913A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-11-30 |