| NPI | 1962244574 |
|---|---|
| Former Name | NICOLE OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2026-05-19 |