| NPI | 1952940389 |
|---|---|
| Other Name | OLIVIA ELIZABETH VAN NESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80001) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-07-16 |