NPI | 1306328646 |
---|---|
Former Name | SAMANTHA MARIE HOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001526) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: CO 0001526) | |
Enumeration Date | 2018-09-04 |
Last Update Date | 2022-01-21 |