| NPI | 1437476652 |
|---|---|
| Former Name | CAROL L HAGANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040822A) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IN 20040822A) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2023-11-27 |