| NPI | 1073247318 |
|---|---|
| Other Name | SALLY CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 134259) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 22142) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-10-06 |