NPI | 1942582192 |
---|---|
Former Name | OLESYA A CHASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 12811) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2011-09-14 |
Last Update Date | 2024-06-20 |