NPI | 1770959173 |
---|---|
Former Name | CHRISTINA FORAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2648-226) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16369-131) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2020-02-11 |