NPI | 1740625045 |
---|---|
Former Name | KARA LYNN GODIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003920) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-05-01 |
Last Update Date | 2024-10-24 |