# CHIQUITHA CORNELIUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033499173
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102L00000X | Psychoanalyst | 6301015882 | MI | — |
| 103T00000X | Psychologist | 6301015882 | MI | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 6301015882 | MI | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 6301015882 | MI | — |
| 103TP0814X | Psychoanalysis Psychologist | 6301015882 | MI | — |
| 103TP2701X | Group Psychotherapy Psychologist | 6301015882 | MI | — |
| 104100000X | Social Worker | 6801095307 | MI | — |
| 2084P0800X | Psychiatry Physician | 6830101788 | MI | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 372500000X | Chore Provider | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2011
- **Last updated:** 01/21/2021