| NPI | 1376518928 |
|---|---|
| Former Name | CAROL LYNN HAMMON-PAULSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14051451041) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 74458) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2015-04-03 |