| NPI | 1578761680 |
|---|---|
| Former Name | ALICE ELIZABETH OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY23516) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-12-14 |