NPI | 1316396856 |
---|---|
Former Name | CHELSEA WATKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3490) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 3490) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2018-09-19 |