NPI | 1740500545 |
---|---|
Former Name | CARILYN A COLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 16414) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health | |
1041C0700X Social Worker Clinical (Licence: FL SW20017) | |
Enumeration Date | 2010-06-03 |
Last Update Date | 2023-03-28 |