| NPI | 1144451816 |
|---|---|
| Former Name | CHELA VASHTI RUTLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017012849) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2017-11-15 |