| NPI | 1770652174 |
|---|---|
| Former Name | CHRISTY LEE PACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC 60149472) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60198166) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-01-23 |