NPI | 1215286596 |
---|---|
Former Name | CHELSIE DEEDEE SAMPAYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-40899) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW64435) |
Enumeration Date | 2012-09-03 |
Last Update Date | 2023-08-30 |