| NPI | 1932889268 |
|---|---|
| Other Name | JODIE WAITS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NE 1195) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13435) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2025-08-19 |