| NPI | 1376180984 |
|---|---|
| Former Name | LAUREN ELISE OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2017030594) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 13421) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2021-06-04 |