| NPI | 1265035802 |
|---|---|
| Former Name | HOLLY BLEVINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2411021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2011162) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2026-06-08 |