| NPI | 1023567187 |
|---|---|
| Former Name | CHRISTINE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH L2102896) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC161363) |
| 104100000X Social Worker (Licence: OH S0009304) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-12-28 |