NPI | 1891826897 |
---|---|
Former Name | CHRISTY ANN LINDQUIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180006422) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180006422) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2012-06-20 |