| NPI | 1184794158 |
|---|---|
| Former Name | ANDREA LYNN OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI 00389) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2025-11-06 |