| NPI | 1740608397 |
|---|---|
| Former Name | CHRISTA LEE BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3369) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR C3369) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2019-07-15 |