| NPI | 1164144358 |
|---|---|
| Former Name | CASSIE ROSE OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.020841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020016) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-10-24 |