NPI | 1386324168 |
---|---|
Former Name | HOLLY MICHELLE HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151109) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT133524) |
Enumeration Date | 2023-07-18 |
Last Update Date | 2024-11-07 |