| NPI | 1326372681 |
|---|---|
| Former Name | CHANDRA L. PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: MT 2180) | |
| 103T00000X Psychologist (Licence: MT 1047) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2023-10-20 |