NPI | 1336489327 |
---|---|
Former Name | ZOSHIA TRACEY CHAMBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926164) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-02-27 |
Last Update Date | 2020-03-03 |