NPI | 1194149252 |
---|---|
Former Name | HOLLY MARIE GILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4705) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7859) |
Enumeration Date | 2014-02-10 |
Last Update Date | 2025-08-11 |