| NPI | 1720692486 |
|---|---|
| Former Name | REBECCA CLAIRE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 107659) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-07-21 |