NPI | 1487996401 |
---|---|
Former Name | HOLLY BLAHUNKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019710) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2013-03-18 |
Last Update Date | 2020-04-09 |