NPI | 1962645705 |
---|---|
Former Name | JULIANA M OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013319) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10024) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2024-08-27 |