NPI | 1346770542 |
---|---|
Former Name | HOLLY ANN RAINES-BAXTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11012) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-06-19 |
Last Update Date | 2020-03-08 |