NPI | 1285906891 |
---|---|
Former Name | SUSAN DIANN CARTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2012-01-30 |
Last Update Date | 2020-03-10 |