NPI | 1770312381 |
---|---|
Former Name | CHELSEY DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701013607) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701013607) |
Enumeration Date | 2024-07-31 |
Last Update Date | 2024-07-31 |