NPI | 1043543085 |
---|---|
Former Name | CARLA R NOBLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 2659) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 2659) |
Enumeration Date | 2009-09-09 |
Last Update Date | 2016-10-03 |