NPI | 1528364825 |
---|---|
Former Name | CHRIS ANN OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4634-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI C.0700319) |
101YM0800X Counselor, Mental Health (Licence: WI 15608-132) | |
Enumeration Date | 2011-02-03 |
Last Update Date | 2012-01-03 |