| NPI | 1174715957 |
|---|---|
| Former Name | CYLLENE HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2009011171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 281148) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2024-08-30 |