| NPI | 1235463597 |
|---|---|
| Former Name | RANDI MARIE CHANDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-4085) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: ID 00108377) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2013-07-29 |