NPI | 1902629199 |
---|---|
Other Name | CHAKIAH ELAINE WALLACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AR A2411012) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: AR A2411012) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2024-11-05 |
Last Update Date | 2025-08-19 |