NPI | 1235607243 |
---|---|
Former Name | HOLLY JEAN STONEROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2202411-TRNE) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 167830) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2022-06-03 |