| NPI | 1447602768 |
|---|---|
| Former Name | CHANEL GARDELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010641) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2020-06-01 |