| NPI | 1083135388 |
|---|---|
| Former Name | CHRISTINA CORRINE JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901141) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH E.1901141) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |