| NPI | 1134503162 |
|---|---|
| Former Name | CLAIRE WICHITCHU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8832) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18840) |
| 101YM0800X Counselor, Mental Health (Licence: NY 094522) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 15332) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-04-13 |