| NPI | 1265985980 |
|---|---|
| Former Name | CHANTALL DUARTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2018-03-17 |