| NPI | 1093022832 |
|---|---|
| Former Name | CHRISTIANE CARLISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6934C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 3934-M) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2024005119) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2024-02-12 |