| NPI | 1033252192 |
|---|---|
| Former Name | CHARI SUE BALGENORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 68004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401009605) |
| 101YM0800X Counselor, Mental Health (Licence: TN 2547) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-03-16 |