| NPI | 1326697111 |
|---|---|
| Former Name | CHRISTINA LYNN HAZELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 111006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-41826) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-12-21 |