| NPI | 1740772672 |
|---|---|
| Former Name | CARLETTE LATISH CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA B8228200) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-04-13 |