| NPI | 1134422595 |
|---|---|
| Former Name | CARLA MARIE MARTINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302991) |
| 106H00000X Marriage & Family Therapist (Licence: MN 2626) | |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2023-09-22 |