NPI | 1366950933 |
---|---|
Former Name | COURTNEY CHAPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY-203726) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 13409800-2501) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2025-09-25 |