| NPI | 1215450028 |
|---|---|
| Former Name | JESSICA OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0005542) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 7090) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-01-13 |