NPI | 1750811766 |
---|---|
Former Name | DEVIN NAVID CHRISTIANSEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61372194) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60991731) |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60991731) | |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-04-25 |