NPI | 1962412684 |
---|---|
Former Name | CHRISTINE LUSHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0084649) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2001019220) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2018-07-25 |