| NPI | 1144774647 |
|---|---|
| Former Name | CAROLYN ASHLEY MYLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2019018304) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009714) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2019-07-29 |