NPI | 1114395290 |
---|---|
Former Name | KALYN CARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1600311) |
101YP2500X Counselor, Professional (Licence: PA PC008034) | |
Enumeration Date | 2015-09-08 |
Last Update Date | 2022-05-16 |