| NPI | 1194874651 |
|---|---|
| Other Name | TINA OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA MFC29190) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA MFT29190) |
| 103T00000X Psychologist (Licence: CA MFC29190) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |