NPI | 1194887323 |
---|---|
Former Name | CHRISTINA B MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW104213) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW15790) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2022-06-05 |