| NPI | 1356657340 |
|---|---|
| Other Name | TRACY N CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: LA 1405) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2018-09-17 |