| NPI | 1104954536 |
|---|---|
| Former Name | MALINDA HOLMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4050) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY21212) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-01-18 |