| NPI | 1508292061 |
|---|---|
| Former Name | CHARVEY MARIE DEJANAKUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2020-06-11 |