NPI | 1427460948 |
---|---|
Former Name | SUSAN CHALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60980741) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2014-06-02 |
Last Update Date | 2022-01-24 |