| NPI | 1417437948 |
|---|---|
| Former Name | CHELSY STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4048-226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7773-125) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-05-06 |