| NPI | 1528413440 |
|---|---|
| Professional Name | CAROLYN DISHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC 636) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |