NPI | 1841369378 |
---|---|
Former Name | KRISTEN CAROLINE OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46246) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00008836) |
101YP2500X Counselor Professional (Licence: OR C1615) | |
Enumeration Date | 2006-11-07 |
Last Update Date | 2008-10-04 |