| NPI | 1437725603 |
|---|---|
| Doing Business As | DIEDRE SHAW |
| Entity Type | Organization |
| Authorized Contact | ASIA ALI Billing Specialist 402-413-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-11-01 |