| NPI | 1043961675 |
|---|---|
| Former Name | CHRISTINA SHELBY BOLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P016000) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-08-31 |