NPI | 1174680276 |
---|---|
Former Name | MARIE TERESE MATTESON-OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: WA RC52217) |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: WA 1164236) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2017-01-06 |