Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 1477 | KS |
NPI | 1003022864 |
---|---|
Provider Name | Mrs. Elizabeth Minton Christian |
First Address | Overland Park, KS 66204-3746 |
Second Address | Overland Park, KS 66204-3746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 08/07/2007 |