NPI | 1649592882 |
---|---|
Former Name | CHRISTA CLAIRDAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005959A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013278) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2023-06-15 |