| NPI | 1518237346 |
|---|---|
| Former Name | CARLA LEANN BLACKBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2024-05-28 |