NPI | 1730815762 |
---|---|
Former Name | SHAUNA CHAMBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61343485) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2022-08-01 |
Last Update Date | 2022-08-15 |