| NPI | 1831354653 |
|---|---|
| Former Name | CHRISTINE NICOLE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 077155) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 70236053502) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2011-11-08 |