NPI | 1215331590 |
---|---|
Former Name | BIANCO DEE HOLMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010511) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20884) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2016-12-31 |