NPI | 1609427848 |
---|---|
Former Name | CHELSEA HOPE PATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.014406) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 35353) |
Enumeration Date | 2019-09-27 |
Last Update Date | 2020-10-30 |