NPI | 1366686149 |
---|---|
Former Name | HOLLY GRIFFEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020021229) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 39000849A) |
1041C0700X Social Worker, Clinical (Licence: IN 39000849A) | |
Enumeration Date | 2009-04-24 |
Last Update Date | 2022-11-22 |