| NPI | 1346997467 |
|---|---|
| Former Name | CHANEL RAE DAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT152656) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT131309) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2025-08-21 |