NPI | 1205100419 |
---|---|
Former Name | CHELSEA SLEETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97988) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 97988) |
101YM0800X Counselor, Mental Health (Licence: CA 97988) | |
Enumeration Date | 2012-03-06 |
Last Update Date | 2017-08-02 |