NPI | 1316289549 |
---|---|
Former Name | HOLLY ANN DELK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60344720) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60344720) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |