| NPI | 1528327772 |
|---|---|
| Former Name | CARLY K PEICOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 174400000X Specialist | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2021-03-24 |