| NPI | 1659032399 |
|---|---|
| Former Name | JILLIAN ELIZABETH OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012663) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103769) |
| 101YM0800X Counselor, Mental Health (Licence: NE 12841) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VA 0718000616) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1477) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701012663) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-01-03 |