| NPI | 1568687325 |
|---|---|
| Former Name | DANA NICOLE CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118548) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2023-11-04 |