NPI | 1184057945 |
---|---|
Professional Name | T. MIA CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7111) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007337) |
101YP2500X Counselor, Professional (Licence: MD LC6047) | |
Enumeration Date | 2013-08-15 |
Last Update Date | 2021-09-06 |