| NPI | 1548731094 |
|---|---|
| Former Name | CHRISTINA WHITEHURST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81283) |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2022-09-12 |