NPI | 1487142691 |
---|---|
Former Name | CHELSEA RAE HALAMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11175-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7159-226) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-09-13 |