| NPI | 1750491031 |
|---|---|
| Former Name | CAROLE JANICE CARTER KERSBERGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID LCPC377) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LMFT2719) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |