| NPI | 1124342001 |
|---|---|
| Former Name | IVORY SHAE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 104689) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 99128083A) |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2024-11-04 |