| NPI | 1619117041 |
|---|---|
| Former Name | CHRISTINA MARIE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 2150) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 3486) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2019-05-01 |