| NPI | 1275900862 | 
|---|---|
| Former Name | HOLLY RENEE TESTERMAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 15528)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-3293)  | 
| 101YM0800X Counselor, Mental Health (Licence: NC 15528)  | |
| Enumeration Date | 2015-08-31 | 
| Last Update Date | 2025-01-28 |