| NPI | 1245742535 |
|---|---|
| Former Name | CARA C NELLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003618A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.011114) |
| 106H00000X Marriage & Family Therapist (Licence: IL 208.000440) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-11-30 |