NPI | 1922473065 |
---|---|
Former Name | CAROL LYNN HULCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3328-57) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 4086) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2022-07-21 |