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 |