| NPI | 1194358234 |
|---|---|
| Former Name | CARRIE PHILION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH21749) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2023-01-11 |