NPI | 1821662875 |
---|---|
Former Name | CHELSEA KEY FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30254) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21220) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2024-02-24 |