| NPI | 1164541827 |
|---|---|
| Former Name | CHRISTINE LEE DECREW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 5563) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 618) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-04-06 |