NPI | 1285025288 |
---|---|
Former Name | CHRISTINA GIVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252827) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 7210) |
Enumeration Date | 2015-02-11 |
Last Update Date | 2020-02-26 |