NPI | 1750626164 |
---|---|
Former Name | CHRISTINA L KHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 2013040131) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS T-LMLP 2424) |
Enumeration Date | 2012-12-11 |
Last Update Date | 2022-01-25 |