| NPI | 1124993373 |
|---|---|
| Former Name | CHRISTINA MARIE MAGBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 02001-TS) |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |