NPI | 1558491738 |
---|---|
Former Name | CHRISTIANA BETH MAYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60020679) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00054883) |
1041C0700X Social Worker, Clinical (Licence: WA LW 60020679) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2022-07-26 |