NPI | 1710591086 |
---|---|
Former Name | CARRIE LYNN-ALLEN PEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4240) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 4240) |
101YP2500X Counselor, Professional (Licence: MO 2021045372) | |
101YP2500X Counselor, Professional (Licence: TX 87000) | |
Enumeration Date | 2020-09-03 |
Last Update Date | 2023-01-19 |