NPI | 1669709325 |
---|---|
Former Name | SARAH A OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC5648) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180007266) |
101YM0800X Counselor, Mental Health (Licence: IA 001025) | |
Enumeration Date | 2009-11-17 |
Last Update Date | 2023-11-30 |