| 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 |