NPI | 1023358256 |
---|---|
Former Name | DANIELLE L HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103010) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 63186) |
Enumeration Date | 2013-02-25 |
Last Update Date | 2024-03-25 |