| NPI | 1023409232 |
|---|---|
| Former Name | CARLA P NANCOO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005381) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA MFT001383) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2024-02-23 |