NPI | 1750428595 |
---|---|
Former Name | CHRISTY DELAQUIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3274) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004876A) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2019-01-21 |