| NPI | 1376204446 |
|---|---|
| Former Name | CHRISTINA MARIE CALKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701012986) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2024-08-01 |