| NPI | 1588955355 |
|---|---|
| Former Name | JAMIE LYNN CARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006816A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34006816A) |
| 104100000X Social Worker (Licence: IN 33005919A) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2015-11-19 |