NPI | 1578052007 |
---|---|
Former Name | HEATHER N CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72990) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223822) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2024-02-22 |