| NPI | 1104530211 |
|---|---|
| Former Name | CAROLYN LOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451022366) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2024-02-15 |