| NPI | 1194373951 |
|---|---|
| Former Name | CARLY SEYMOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5530) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2025-08-07 |