NPI | 1336696558 |
---|---|
Former Name | CHELSEA FORESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-09-06 |
Last Update Date | 2025-06-02 |