| NPI | 1184178030 |
|---|---|
| Former Name | CELESTE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9467-C) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2022-05-12 |