| NPI | 1366737520 |
|---|---|
| Former Name | LISA L OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 00486) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 687-6-1-11) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2018-04-18 |