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 |