NPI | 1245698968 |
---|---|
Former Name | DEBORAH A HOLUB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-25634) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT LAC-LAC-LIC-4298) |
106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-29946) | |
Enumeration Date | 2016-02-09 |
Last Update Date | 2024-09-14 |