| NPI | 1194209262 |
|---|---|
| Former Name | CHASITY MARIE NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OTA1879) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2022-10-25 |