| NPI | 1811537376 |
|---|---|
| Former Name | DEIDRE ISAAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5248) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1803) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-07-31 |