| NPI | 1689187254 |
|---|---|
| Former Name | DAWNA LYNN OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 304959) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |