| NPI | 1942812789 |
|---|---|
| Former Name | CARSON LEIGH SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701009812) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701009812) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2024-05-13 |