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 |