| NPI | 1548626336 |
|---|---|
| Former Name | SHANDELLE HETHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P00514) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2023-02-28 |