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) | |
101YP2500X Counselor Professional (Licence: NC A15528) | |
Enumeration Date | 2015-08-31 |
Last Update Date | 2023-04-26 |