NPI | 1346381522 |
---|---|
Former Name | CHRISTINE JENNIFER VOSBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3106) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L3106) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2022-06-17 |