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 |