| NPI | 1053922328 |
|---|---|
| Former Name | CHRISTINE UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2022016956) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-04-29 |