| NPI | 1255936639 |
|---|---|
| Former Name | MARY ELIZABETH HOLLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61535183) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61128499) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2025-06-28 |