| NPI | 1316742927 |
|---|---|
| Former Name | CHRISTINE CAROL DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8252-226) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |