NPI | 1427274463 |
---|---|
Former Name | CHRISTINE LEE REDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-06254) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34008086A) |
1041S0200X Social Worker School (Licence: NM I 6254) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2024-10-11 |