NPI | 1184118648 |
---|---|
Former Name | CHYNNA DRAKE MOERLIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225C00000X Rehabilitation Counselor |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2018-06-19 |
Last Update Date | 2018-09-13 |