| NPI | 1659868362 |
|---|---|
| Former Name | DEANNA OLSSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5995) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 24095) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2020-11-10 |