| NPI | 1215959408 |
|---|---|
| Former Name | CHANDRA EUCALYPTUS CHAIKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC43942) |
| Additional Taxonomies | 225600000X Dance Therapist (Licence: CA R-DMT-119) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-08-11 |