| NPI | 1326540634 |
|---|---|
| Former Name | HOLLY FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014998) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012196) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2024-05-08 |