NPI | 1568980944 |
---|---|
Former Name | CHELSIE LYNN BIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.013600) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-09-06 |
Last Update Date | 2019-11-14 |