| NPI | 1033838487 |
|---|---|
| Former Name | CHANTEL AXMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC21613) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149017740) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-07-10 |