| NPI | 1932575776 |
|---|---|
| Former Name | CHRISTINE ELISE BURK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW66086) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW66086) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-09-04 |