| NPI | 1942856901 |
|---|---|
| Former Name | ELIZABETH SUSAN CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-05-27 |