NPI | 1376851816 |
---|---|
Former Name | CHELSEA RENEE SWANK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW34716) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: TX 68088) | |
Enumeration Date | 2010-09-17 |
Last Update Date | 2019-09-10 |