NPI | 1225269780 |
---|---|
Former Name | CARMEN IRIS MAE NAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 7151) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7151) |
101YP2500X Counselor, Professional (Licence: NC 7151) | |
Enumeration Date | 2009-08-01 |
Last Update Date | 2023-06-20 |