| NPI | 1154558930 |
|---|---|
| Former Name | CARLA DODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3793) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2014-01-13 |