| NPI | 1508226911 |
|---|---|
| Former Name | CHAUNTAY BRENORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018288) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149018288) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-01-15 |