NPI | 1376956078 |
---|---|
Former Name | CHRISTINA A RESENBECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 5070) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 9211) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2020-08-07 |