| 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 |