| NPI | 1164054995 |
|---|---|
| Former Name | CHRISTINA MARIE LAURICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06016800) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44sl06445300) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2024-10-30 |