| NPI | 1174879480 |
|---|---|
| Former Name | KARLA A TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW10719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL sw10719) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2022-10-03 |