NPI | 1225215304 |
---|---|
Former Name | SHERYL ALEXIS CHANDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60195211) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00056913) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2011-06-21 |