NPI | 1104930940 |
---|---|
Former Name | CHRISTINE M. HORNUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WI 1805-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 12499) |
101YP2500X Counselor, Professional (Licence: WI 915) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2022-08-04 |