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 |