NPI | 1144460254 |
---|---|
Former Name | CARRIE ELIZABETH DAMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NY 085400-1) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2009-03-02 |
Last Update Date | 2016-05-16 |