NPI | 1144680638 |
---|---|
Former Name | CHRISTINE SHOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0813) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-02-26 |
Last Update Date | 2023-02-27 |