NPI | 1750744512 |
---|---|
Former Name | CHELSEA MARIE DEVINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901926) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129491) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2023-08-29 |