NPI | 1285716092 |
---|---|
Former Name | MELINDA HOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW015828) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW013133L) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-04-13 |