| NPI | 1326552050 |
|---|---|
| Former Name | VICTORIA LYNN CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2214) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1707) |
| 101YM0800X Counselor, Mental Health (Licence: NE 11167) | |
| 104100000X Social Worker (Licence: NE 1850) | |
| 104100000X Social Worker (Licence: NE 7152) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2022-04-29 |