| NPI | 1073765764 |
|---|---|
| Former Name | ANGELA CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-24) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2018-03-17 |