NPI | 1053899203 |
---|---|
Former Name | CHIAH JASMINE CASSELLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 8142) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 8142) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12790-R) | |
Enumeration Date | 2018-07-31 |
Last Update Date | 2023-04-12 |