| NPI | 1255737128 |
|---|---|
| Former Name | CARLA LEMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700236-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1000239) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2020-07-07 |