| NPI | 1689386641 |
|---|---|
| Former Name | CHANDLER ISABEL CHICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A21269) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2025-05-19 |