| NPI | 1417560673 |
|---|---|
| Other Name | GRACE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33537) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94025549) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2023-01-24 |