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 |