| NPI | 1144740978 |
|---|---|
| Former Name | CARLA RAE WEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9217-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130637-121) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |