| NPI | 1053827915 |
|---|---|
| Former Name | WENDY CARMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2106044211) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2022-03-03 |