NPI | 1699500140 |
---|---|
Former Name | CHELSEA M JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR pending) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: nonapplicable) |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-09-10 |