| NPI | 1679247902 |
|---|---|
| Former Name | CAROLYN NICHOLE TURNBOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020024363) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-09-22 |