| NPI | 1922497734 | 
|---|---|
| Former Name | CHRISTINA SPEYRER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 4540)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701006026)  | 
| 101YM0800X Counselor, Mental Health (Licence: AR P1611170)  | |
| 106H00000X Marriage & Family Therapist (Licence: LA 1150)  | |
| Enumeration Date | 2015-01-16 | 
| Last Update Date | 2024-08-12 |