| NPI | 1538482294 |
|---|---|
| Former Name | CHANEL A SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303305-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0900691) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2018-10-09 |