| NPI | 1104355288 |
|---|---|
| Former Name | CHRISTINA HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801119400) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-01-09 |