| NPI | 1932262276 |
|---|---|
| Other Name | CHARLIE MAYER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA 28453) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 29373) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2017-05-02 |