NPI | 1497775001 |
---|---|
Former Name | ERMA JEAN HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01140L) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2008-09-02 |