NPI | 1528193836 |
---|---|
Former Name | ELEONORA JANE HOLLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-02-23 |
Last Update Date | 2014-08-11 |