NPI | 1285915017 |
---|---|
Former Name | CHRISTA DRIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115350) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-09-07 |
Last Update Date | 2023-08-22 |