NPI | 1881056141 |
---|---|
Former Name | CAROLYN YVONNE CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60983439) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60637119) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2024-09-16 |