NPI | 1205501855 |
---|---|
Former Name | CHELSEA EILEEN JANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11456-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 29032) |
Enumeration Date | 2021-08-14 |
Last Update Date | 2024-02-16 |