| NPI | 1063082774 |
|---|---|
| Former Name | CHRISTINA GANNON BORJA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4292) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2019-048A) |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2022-03-08 |