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 |