NPI | 1134607195 |
---|---|
Former Name | CHELSIE RUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 26446) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2023-04-25 |