| NPI | 1972038958 |
|---|---|
| Former Name | SHELBY L. MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3468-226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18012-130) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |