| NPI | 1265856660 |
|---|---|
| Former Name | CHELSIE MCSHANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2904) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303919) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-07-18 |