NPI | 1831869502 |
---|---|
Former Name | SHEILA A CHAMBERLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022012915) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 10386) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2024-12-23 |