NPI | 1063053593 |
---|---|
Former Name | CHELSEY C ABE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-4872-0) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60958764) |
Enumeration Date | 2019-10-06 |
Last Update Date | 2024-02-28 |