| NPI | 1740795582 |
|---|---|
| Former Name | CAROLYN MARIE EHAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ lac15778) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2023-04-17 |