NPI | 1679720338 |
---|---|
Other Name | CAROLYN COLDIRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361005424) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-244) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2023-11-17 |