NPI | 1134543887 |
---|---|
Former Name | CHELSEA RHODEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18379) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL R350-116-92-710-0) |
Enumeration Date | 2014-02-14 |
Last Update Date | 2020-09-23 |