NPI | 1679098933 |
---|---|
Former Name | CHEYANNE ELIZBETH MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: FL 17499) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2017-08-08 |
Last Update Date | 2023-01-06 |