| 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 |