| NPI | 1003255274 |
|---|---|
| Former Name | CHELSEA R BOSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3515) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015521) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2016-04-01 |