| NPI | 1003034216 |
|---|---|
| Former Name | NANCY A OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 962-132) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |