NPI | 1982771283 |
---|---|
Former Name | CLAIRE ELLEN OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07023) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 106102) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2015-01-18 |