NPI | 1003066945 |
---|---|
Former Name | CHELSEA KUNZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 70204683502) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 70204683501) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2011-06-20 |