NPI | 1750861670 |
---|---|
Former Name | CHELSEA SARGENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007763) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701007763) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2024-01-05 |