NPI | 1831660539 |
---|---|
Former Name | CHRISTINA ANN CROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: KY 256648) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 244970) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2023-10-11 |