NPI | 1487974291 |
---|---|
Former Name | HOLLY JOY HARTWIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4128) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E4153) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |