| NPI | 1245874049 |
|---|---|
| Former Name | CHANEE RUDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT200001455) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3251) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2026-07-09 |