NPI | 1356390587 |
---|---|
Former Name | CARLA Y. WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004621) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4696) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2020-07-08 |