| NPI | 1992984561 |
|---|---|
| Former Name | SHANNAN CHERIE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT126448) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT109782) |
| 174400000X Specialist (Licence: CA 4493) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2024-07-11 |