NPI | 1326390188 |
---|---|
Former Name | MELISSA OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 88055) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-10-03 |
Last Update Date | 2023-06-07 |