NPI | 1740890797 |
---|---|
Former Name | KARI MELISSA CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15747) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26581) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2021-02-10 |