| NPI | 1437540937 |
|---|---|
| Other Name | CARMEN BOULDIN |
| Former Name | CARMEN BOULDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2018-08-06 |