| NPI | 1215418967 |
|---|---|
| Former Name | HEATHER RAE HOLLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001457) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000658) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2021-03-24 |