| NPI | 1942503073 |
|---|---|
| Former Name | CHRISTINA ANN KENWORTHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 680119738) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 64453) |
| Enumeration Date | 2010-12-12 |
| Last Update Date | 2025-07-08 |