| NPI | 1740865112 |
|---|---|
| Former Name | CHANDRA VYNON COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |