| NPI | 1356011860 |
|---|---|
| Former Name | WHITNEY CHIVONNE SEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-02-22 |