| NPI | 1609093475 |
|---|---|
| Other Name | SHERRY CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1402) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AL 47) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-09 |