| NPI | 1821852872 |
|---|---|
| Former Name | CHANTEL BETHUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024038223) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2025-08-29 |