| NPI | 1851586796 |
|---|---|
| Former Name | CHRISTIE MAE TRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 13306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13306) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2022-02-14 |