| NPI | 1720554173 |
|---|---|
| Former Name | CHRISTEN DEAMICIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW15329) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15329) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-03-02 |