| NPI | 1710482104 |
|---|---|
| Former Name | CHRISTINE LOUISE WESTERGARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8983656-3501) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-11-05 |