| NPI | 1396014742 |
|---|---|
| Former Name | CHRISTINE LYNN JOSEPH-RUSSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005913) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079095-1) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2017-01-30 |