NPI | 1639617426 |
---|---|
Former Name | CHELSEA KNEIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361000541) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018032) |
103TC0700X Psychologist, Clinical (Licence: MI 6301016892) | |
Enumeration Date | 2017-02-01 |
Last Update Date | 2022-08-04 |