| NPI | 1437641859 |
|---|---|
| Former Name | CAROLYN CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: FL MH22604) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 168607) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-02-05 |