NPI | 1538418728 |
---|---|
Former Name | CHELSEA NICOLE MORENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145253) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 76038) |
106H00000X Marriage & Family Therapist (Licence: CA 113702) | |
171M00000X Case Manager/Care Coordinator (Licence: CA 76038) | |
Enumeration Date | 2012-09-03 |
Last Update Date | 2024-03-10 |