NPI | 1922882364 |
---|---|
Former Name | AUBREY STAR OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 680109882) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801098882) |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |