| NPI | 1417762808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY HILTNER-FULLMER Sole Owner Single/Sole Member LLC 410-260-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |