| NPI | 1063839645 |
|---|---|
| Former Name | HILARY A HOLLERBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6301015855) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |