NPI | 1558489005 |
---|---|
Former Name | CAROL ANN NASR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004581) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2246) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2007-03-26 |
Last Update Date | 2024-11-08 |