NPI | 1184113052 |
---|---|
Former Name | CHELSEA GEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61454905) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-05-07 |
Last Update Date | 2023-09-07 |