NPI | 1932656162 |
---|---|
Former Name | CHARI BONDURANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY31546) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor |
Enumeration Date | 2016-09-06 |
Last Update Date | 2023-03-30 |