NPI | 1962656926 |
---|---|
Former Name | JENNIFER A OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2008-11-04 |
Last Update Date | 2010-09-29 |