| NPI | 1083270318 |
|---|---|
| Former Name | HOLLY PENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61065010) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-10-01 |