| NPI | 1558772202 |
|---|---|
| Former Name | CHERONDA CARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2021-10-28 |