NPI | 1144880493 |
---|---|
Former Name | CHRISTINA ANNE VIDMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: TX 67836) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67836) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2024-09-25 |