NPI | 1649933946 |
---|---|
Former Name | KELLY CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: PA MF001546) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-10-14 |
Last Update Date | 2023-10-29 |