NPI | 1750327458 |
---|---|
Former Name | NANCY JOY CARROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 3224) |
Additional Taxonomies | 103TH0100X Psychologist Health Service (Licence: TN P1002) |
101YP2500X Counselor Professional (Licence: TN LPC43) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2016-12-24 |