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 |