| NPI | 1154923654 |
|---|---|
| Former Name | SHANDY KAY CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154864) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2025-06-17 |