| NPI | 1467970111 |
|---|---|
| Former Name | CHELSEA KALYNN KOCIUBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH P.07727) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.07727) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-06-19 |