| NPI | 1457831661 |
|---|---|
| Former Name | CHELSEA ANN STANSBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC518) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1994-18) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |