NPI | 1790926863 |
---|---|
Former Name | ANDREA CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 283182-3501) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2009-03-18 |
Last Update Date | 2019-08-26 |