| NPI | 1053078329 |
|---|---|
| Former Name | CHANTAL HUDAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019528) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2020717) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-06-10 |