| NPI | 1205376241 |
|---|---|
| Former Name | CHELSIE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 287710) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: UT 8094263-4201) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |