| NPI | 1679229280 |
|---|---|
| Former Name | CHELSEA MARIE BOUQUET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2022027625) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-04-11 |