| NPI | 1508962424 |
|---|---|
| Former Name | LINDA CHASSMAN CRADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 835) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC22808) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-08-05 |