NPI | 1790193258 |
---|---|
Former Name | CHRISTINA COLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1040-11-15-19A) |
Additional Taxonomies | 104100000X Social Worker (Licence: ND 4977) |
Enumeration Date | 2014-07-29 |
Last Update Date | 2020-05-14 |