NPI | 1114353984 |
---|---|
Former Name | WHITNEY HOLCOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012299) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000443) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2016-10-05 |