NPI | 1326327982 |
---|---|
Former Name | CHELSEA BRIANA CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0015812) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015812) |
101YP2500X Counselor, Professional (Licence: PA PC011090) | |
Enumeration Date | 2011-08-12 |
Last Update Date | 2024-11-21 |