| NPI | 1720453475 |
|---|---|
| Former Name | CARLA MONIQUE MCLEOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 12017) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 89309) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC007367) | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-10-17 |