| 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 |