| NPI | 1497938161 |
|---|---|
| Former Name | HEATHER LOUISE OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1572) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-01-24 |