NPI | 1942634076 |
---|---|
Former Name | CHELSEA BREANNE PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 14052) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO 14052) |
101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014052) | |
Enumeration Date | 2013-08-26 |
Last Update Date | 2022-03-24 |