NPI | 1609441377 |
---|---|
Former Name | CHELSEA O'DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222282) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019209) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2022-09-21 |