| NPI | 1740280593 |
|---|---|
| Former Name | CARRIE BETH SHIPLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw015265) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW013358L) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2014-06-11 |