NPI | 1518289859 |
---|---|
Former Name | THOMAS CHRISTENSEN-WHITE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18384) |
Additional Taxonomies | 104100000X Social Worker (Licence: MN 18384) |
Enumeration Date | 2010-02-26 |
Last Update Date | 2022-12-05 |