NPI | 1871156836 |
---|---|
Former Name | ANDREA CHERNIKOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112947) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L14398) |
101YM0800X Counselor, Mental Health (Licence: ID LMSW-37780) | |
101YM0800X Counselor, Mental Health (Licence: ID LCSW-41572) | |
101YM0800X Counselor, Mental Health (Licence: WA LW61423593) | |
101YM0800X Counselor, Mental Health (Licence: TX 112947) | |
Enumeration Date | 2019-04-16 |
Last Update Date | 2024-08-28 |