NPI | 1548832454 |
---|---|
Professional Name | CHANTAL DERISSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39005033A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-07-12 |
Last Update Date | 2024-08-12 |