| NPI | 1356589352 |
|---|---|
| Former Name | CHARLA ANN POORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6991) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MH6991) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |