| NPI | 1669199758 |
|---|---|
| Former Name | NATASHA NICOLE CHABOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL6759) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 22-405) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |