| NPI | 1073096707 |
|---|---|
| Former Name | CHLOE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7055-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7055-125) |
| 101YM0800X Counselor, Mental Health (Licence: WI 7055-125) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2020-10-30 |