NPI | 1942418959 |
---|---|
Former Name | JENNIFER HEROLD-OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 3399) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2007-05-21 |
Last Update Date | 2010-05-20 |