| NPI | 1124489745 |
|---|---|
| Former Name | CARRIE YATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016009405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 081255) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2023-11-13 |