NPI | 1447751854 |
---|---|
Former Name | HOLLY WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000011722) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-02-22 |
Last Update Date | 2022-02-10 |