NPI | 1639451933 |
---|---|
Former Name | CHRISTINE ELIZABETH BURKARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7419) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009382) |
1041C0700X Social Worker, Clinical (Licence: NY 084640) | |
Enumeration Date | 2011-09-13 |
Last Update Date | 2020-08-03 |