| NPI | 1316239429 |
|---|---|
| Former Name | CHRISTINE MARIE HENDRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178009096) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 2413 - 226) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-05-07 |
| Last Update Date | 2015-08-12 |