NPI | 1144670688 |
---|---|
Former Name | ZOA ANN CHATHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R4278) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61186657) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2022-05-02 |