NPI | 1831435791 |
---|---|
Former Name | CHRISTINA LYNN DEMARIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4951) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-354) |
101YM0800X Counselor, Mental Health (Licence: WA LH61579686) | |
101YP2500X Counselor, Professional (Licence: KY 277251) | |
1041C0700X Social Worker, Clinical (Licence: IN 34011363A) | |
1041C0700X Social Worker, Clinical (Licence: OH I.2405559) | |
Enumeration Date | 2012-12-21 |
Last Update Date | 2024-11-15 |