NPI | 1770268096 |
---|---|
Former Name | CHRISTINA LAREE FRASL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A15458) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 132883-121) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2024-08-13 |