| NPI | 1265046783 |
|---|---|
| Former Name | CHRISTINA DOHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21415-P) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 7611) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2025-01-15 |