| NPI | 1033728357 |
|---|---|
| Former Name | SHENIKA BORDEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 304585) |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2024-10-09 |