NPI | 1932654910 |
---|---|
Former Name | BRITNI CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CO 0005544) |
Additional Taxonomies | 103TS0200X Psychologist School |
Enumeration Date | 2016-08-19 |
Last Update Date | 2024-11-19 |